Individual provider Active NPI

Robert Corey St.Pierre, RN

  • Registered Nurse
  • Virginia Beach, VA
National Provider Identifier
1740596048
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
0001299707 Issued in VA
Practice address
1636 Regulus Ave
Virginia Beach, VA 23461-2200
Phone
(434) 924-2598
NPI assigned
Aug 24, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Corpsman 1710I1002X
Registered Nurse 163W00000X 0001299707 VA Primary

Addresses

Primary practice location

1636 Regulus Ave
Virginia Beach, VA 23461-2200

Mailing address

Uva Health Thoracic Cardiovascular Surgery
PO Box 800679
Charlottesville, VA 22908-0679
Phone (434) 924-2598

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
0001299707VAMDRegistered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1740596048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UVA HEALTH THORACIC CARDIOVASCULAR SURGERY",
            "address_2": "PO BOX 800679",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229080679",
            "telephone_number": "434-924-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 REGULUS AVE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234612200",
            "telephone_number": "434-924-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST.PIERRE",
        "first_name": "ROBERT",
        "middle_name": "COREY",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-24",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001299707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.